| Lessa W Bollers, LPN | |
|
16 Normandy Pl, Irvington, NJ 07111-3127 | |
| (973) 342-2769 | |
| Not Available |
| Full Name | Lessa W Bollers |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 16 Normandy Pl, Irvington, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760761043 | NPI | - | NPPES |
| 1133557796 | Medicaid | NJ | |
| 1001224411 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 302427-1 (New York) | Primary |
| 164W00000X | Licensed Practical Nurse | 26NP06508500 (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lessa W Bollers, LPN 16 Normandy Pl, Irvington, NJ 07111-3127 Ph: (973) 342-2769 | Lessa W Bollers, LPN 16 Normandy Pl, Irvington, NJ 07111-3127 Ph: (973) 342-2769 |
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